A nurse has identified the following nursing diagnosis: ...

[asmith134]

A nurse has identified the following nursing diagnosis: ineffective communication R/T lack of assertiveness skills AEB inability to state needs. Which statement encourages the client to acknowledge the priority of this problem?
 
  A. Are you having thoughts of harming yourself or others?
  B. With whom are you least assertive?
  C. On a scale of 1 to 10, rank the importance of being assertive.
  D. When are you available to attend the assertiveness training class?

Question 2

A nurse is caring for four clients. Which of the following clients should the nurse identify as likely to experience difficulty in being assertive? Select all that apply.
 
  A. A 20-year-old woman who is completing college homework assignments for several peers.
  B. A 69-year-old widow who is socially isolated
  C. A 17-year-old boy with conduct disorder
  D. A 45-year-old successful executive
  E. A 50-year-old diagnosed with narcissistic personality disorder

[Benayers]

Answer to Question 1

ANS: C
This nursing statement encourages the client to objectively evaluate the priority of being assertive. It is important in patient-centered care for the client to prioritize his or her goals for treatment.

Answer to Question 2

ANS: A, B, C
The woman who is taking on the work of others in addition to her own may be having difficulty assertively saying no; the widow who is socially isolated may lack the necessary skills to communicate her needs; and the boy with a conduct disorder is likely to demonstrate aggressive behaviors. The business executive and an individual diagnosed with narcissistic personality disorder are the least likely to have difficulty being assertive.